FORM P-2A
CANDIDATE CERTIFICATION
ISSUE ADVOCACY ORGANIZATION PARTICIPATION
NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION
P.O. Box 185, Trenton, NJ 08625-0185
(609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532)
www.elec.nj.gov
Candidate Name:
Street Address:
City, State, Zip:
Election Date:
CANDIDATE CERTIFICATION
Select paragraph "A" or "B" below: A.
A. I am a candidate for the Office of Governor or Lieutenant Governor in the above election, and I have applied to receive public
matching funds. I hereby certify that during the four years prior to the date upon which I became a candidate, I have not formed,
assisted in the formation of, or am not now involved in any way in the management of an issue advocacy organization, as described in
N.J.S.A. 19:44A-27.1, organized under:
(a) Section 527 of the federal Internal Revenue Code (26 U.S.C. §527);
(b) paragraph (4) of subsection c of Section 501 of the federal Internal Revenue Code (26 U.S.C. §501(c)(4)); or,
(c) an organization organized under any section of the federal Internal Revenue Code that is similar to (a) or (b) above.
B. I have during the four years prior to the date upon which I became a candidate for the Office of Governor or Lieutenant Governor
in the above election, formed, assisted in the formation of, or am now involved in the management of an organization or organizations
that have since inception filed reports of contributions and expenditures with the New Jersey Election Law Enforcement Commission
(hereafter, the Commission) or with the Federal Election Commission (hereafter, the FEC), and that was/were organized under:
(a) Section 527 of the federal Internal Revenue Code (26 U.S.C. §527);
(b) paragraph (4) of subsection c of Section 501 of the federal Internal Revenue Code (26 U.S.C. §501(c)(4)); or,
(c) an organization organized under any section of the federal Internal Revenue Code that is similar to (a) or (b) above.
Listed below are the names of the organization(s) and the identification number(s) under which reports are filed with the
Commission or the FEC (attach additional sheets if necessary):
Organization Name
Identification Number
Filed with
ELEC
FEC
ELEC
FEC
ELEC
FEC
I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully
false, I may be subject to punishment, my eligibility to receive public matching funds will cease, and I am liable for return to the State
of New Jersey of all public funds my candidate committee has received.
Registration Number
PIN
Candidate
Date
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New Jersey Election Law Enforcement Commission
Form P-2A Rev 12/16/2020
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